Medical Billing services

MedHealthClaims introduces the new way of managing your medical revenue, a professional service that gets you paid more faster, easier and at affordable price, without the management headaches. Our highly experienced team of Medical Billers increases your first pass acceptance rate up to 98% and not only that but follow-up on every single claim till it gets paid.

We’ve combined extensive medical billing and process expertise with our comprehensive A/R management solution designed to maximize your collections, whether you are a solo practitioner or a provider in a larger group or an acute care hospital. With our medical billing sophistication available to every small & large institution, MedHealthClaims simplify your billing process with affordable, manageable, worry-free service.

Putting your trust in MedHealthClaims for medical billing management keeps you financially fit with sophisticated reporting and 24/7 visibility. Our revenue management services free you from the costs and headaches of managing medical billing processes, systems and personnel, allowing you to focus on patient care.

What can MedHealthClaims do for my practice?

1

Accelerate Cash Flow

1

Reduce Denials

1

Prepare for ICD-10

medical-billing-services

PATIENT REGISTRATION

This process involves collecting patient demographics. Our teams process, verify and validate demographic information of the patient and register a patient prior to an appointment at the clinic / hospital

ELIGIBILITY & BENEFITS

You no longer have to face concerns of lost billing due to delays or errors in insurance checks; we verify Eligibility and benefits for you by verifying coverage on all Primary and Secondary (if applicable) Payers by utilizing Payer Web Sites, Automated Voice Responses and phone calls to Payers. We also Contact patient for information if necessary. Provide the client with the results which include eligibility and benefits information such as member ID, group ID, coverage end and start dates, co-pay information and much more.

MEDICAL BILLING & CODING

We ensure the quality of our coders by an effective auditing and monitoring mechanism. Our coders work in accordance with updated standards and methodologies laid down by CMS, Medicare contractors, AMA, medical societies, and federal organizations. In addition to this we provide extensive training sessions and mentoring program for all coders. This includes training which is specialty specific, process-specific or client-specific. Our coders have access to the most updated reference material from Ingenix, CMS and other sources

DATA ENTRY AND PATIENT DEMOGRAPHICS

We help our clients to enter any data into the system which may pertain to any payment, demographics, notes, alerts etc.

REFERRAL & AUTHORIZATION

We check on the status of referrals with multiple payers. In addition we also receive referrals from other providers. WE Obtain Pre- Authorization Number. Ascertain if authorization is required for schedule procedures. And obtain verbal and written authorization for medical treatment from appropriate sources.

CHARGE POSTING:

Our expert billing team shall take care of your charge posting form the super bill. Our coders work in accordance with updated standards and methodologies laid down by CMS, Medicare contractors, AMA, medical societies, and federal organizations.

CLAIM SUBMISSION & CLEARINGHOUSE DENIALS

Once all the charges are posted into the system, we submit all your electronic claims to the respective payers (if required HCFA paper claims too).We work on all your clearing house denials and provide proper feedbacks and suggestions to reduce the number of claims that do not pass the clearing house. A detailed Report shall be sent to the client on daily, weekly, monthly and yearly basis.

PAYMENT POSTING & PAYMENT RECONCILIATION

Insurance payments are posted to the patient accounts from EOB’s into the client’s existing software packages with a turn-around-time of 24 hours. We also generate secondary claims and mail them to insurance companies. The turn-around-time for the posting of EOB’s is 24 hours. Daily payments are posted into the system and it is reconciled to make sure that there is no discrepancy in the postings and daily reports are sent to the client.

DENIAL MANAGEMENT & SECONDARY INSURANCE BILLING

All the denials are segregated and forwarded to the Denial Management Group for resolution of queries. The denial management team measure, monitors, analyzes and resolves all the denials we receive from the payers. A detailed report is sent to the client for the same.

ACCOUNTS RECEIVABLE

We work on improving your cash flow by reducing the number of days in AR by increasing the ratio of your collections and profitability. An effective account receivables management allows our customers to improve their revenue which has great bearing on efficient operations and can impact business scalability significantly.

PATIENT BILLING

We take care of the entire patient billing issues, i.e. sending out statements to patients for the amount not paid by insurance, Coordination of benefits and try to resolve any issues between the payer and the members.

WHY YOU NEED MEDHEALTHCLAIMS AND NOT JUST DO IT YOURSELF?

We file electronically so you should receive your revenue within 2 weeks. Paper billing typically ranges from 4-6 weeks. Most physicians outsource important functions like taxes and legal matters. The next logical step is to have your billing handled by experienced professionals. We focus on maximizing your revenue, enabling you to focus on your patients.

30 to 40% of insurance claims submitted are wrong and you don’t get paid until the claim submissions are correct! We specialize in providing medical billing services to hospital and office based practices. Our cross-trained and experienced professionals become an extension to your practice

FIVE MAIN REASONS TO SELECT OUR RCM SERVICES

  • We handle the pain you handle the gain
  • Low investments and high returns
  • Best medicine for new and broken billing cycle
  • Customized business solutions
  • Cost effective and efficient Medical Billing solutions